Early Dismissal Request STUDENTS ARE NOT ALLOWED TO SIGN THEMSELVES OUT, THEY MUST BE PICKED UP BY AN ADULT ON THE EMERGENCY CONTACT LIST WITH A VALID PHOTO I.D! NO EXCEPTIONS!
This form must be submitted if a student needs to log off from classes for reasons such as medical appointments, sickness, etc. If student does not attend class, and this form is not submitted, it will be coded as a class cut. Information provided on this form will be verified before it is accepted as an excused absence from class.
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Student's Last Name *
ATTENTION: STUDENTS MUST BE PICKED UP BY AN ADULT WITH A VALID PHOTO I.D. THE MUST BE PICK UP FROM THE MAIN OFFICE. STUDENTS MAY NOT SIGN THEMSELVES OUT.  IF THEY STUDENT IS BEING PICK-UP BY AN EMERGENCY CONTACT OTHER THAN LEGAL GUARDIANS, WE WILL CALL TO CONFIRM.
Student's First Name *
Student's Grade *
Parent/Guardian's Name *
Parent/Guardian's Email Address
Parent/Guarian's Phone Number *
Date of Early Dismissal *
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Time of Early Dismissal *
Time
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Reason for Early Dismissal *
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